Tax Account Registration Form - City Of Huntsville Finance Department
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1City of Huntsville
For Department Use Only
Date Received:
______________
Finance Department
Confirmation Ltr: ______________
308 Fountain Circle ∙ P.O. Box 308 ∙ Huntsville, Alabama 35804
COH ID: _____________________
Phone (256) 427-5070 ∙ Fax (256) 427-5064
CT OFC: ____________________
TAX ACCOUNT REGISTRATION FORM
Confidential
The information supplied in this application will be used to complete the tax registration process with the City of Huntsville. Return completed
form to the address or fax number above. You will receive notification of your Huntsville account number after processing. If you have any
questions, please call (256) 427-5070 or email
financetax@HuntsvilleAL.gov
BUSINESS INFORMATION
Legal Name of Business: ___________________________________ Trade Name (d/b/a): _______________________________________
Federal ID Number: _______________________________________ Type of Business: ________________________________________
State of AL City/County (9501) Account Number: _________________ NAICS Code: ____________________________________________
Date Huntsville Tax Collection Began: _________________________
Mailing Address: __________________________________________ City, State, Zip: __________________________________________
Contact Name: ___________________________________________ Title: ___________________________________________________
Email Address:____________________________________________ Phone Number: __________________________________________
Contact Name: ___________________________________________ Title: ___________________________________________________
Email Address:____________________________________________ Phone Number: __________________________________________
Please check all that apply.
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Sales reps or employees solicit business in Huntsville
Business location in Huntsville
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Deliveries made into Huntsville via company owned or leased vehicles
Personal property leased in Huntsville
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Deliveries made into Huntsville via common carrier or US Postal Service
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Repairs, maintenance, construction or installation services performed in Huntsville
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Isolated transactions in Huntsville requiring tax remittance
TYPE OF OWNERSHIP
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_____________________
Proprietorship
Partnership
Corporation
LLC
Other
Name the person, officer or member responsible for payment of taxes, reporting and/or receiving confidential tax information.
Authorized Tax Official: ______________________________________Title: ______________________________________________
Street Address: ________________________________________________________________________________________________
City, State, Zip: ________________________________________________________________________________________________
Phone Number: __________________________________________
Fax Number: ________________________________________
Email Address: __________________________________________
Driver License (State/Number):__________________________
TAX FILING INFORMATION
Filing Frequency
Tax Type
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Monthly
Annual
Sales
Rental
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Quarterly
Occasional
Consumers Use
Sellers Use
Lodging (Monthly Only)
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Liquor (Monthly Only)
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Gasoline (Monthly Only)
Tobacco (Monthly Only)
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Tax Filing Method:
File Return and Payment ELECTRONICALLY
(If you file electronically with the State of Alabama, then you are required to file electronically with the City of
Huntsville. Visit our website at
for detailed instructions.)
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File Return and Payment by MAIL
AUTHORIZATION TO SUBMIT TAX ACCOUNT REGISTRATION
____________________________________________________________________________________________
Date
Printed Name
Signature
Title
By signing this form, you authorize release of confidential tax information to individuals named on this form.
V5.01222013TRF
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